Active NPI
Michael Joseph Plotkowski, PA-C
- Physician Assistant
- Valencia, CA
National Provider Identifier
1003044785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51684
- Practice address
- 24565 Town Center Dr
Apt 8206
Valencia, CA 91355-1371 - Phone
- (813) 784-8456
- NPI assigned
- Jul 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1087705 | GA | |
| Physician Assistant | 363A00000X | 51684 | CA | Primary |
Addresses
Primary practice location
24565 Town Center Dr
Apt 8206
Valencia, CA 91355-1371
Mailing address
24565 Town Center Dr Apt 8206
Valencia, CA 91355-0817
Phone (813) 784-8456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51684 | CA | MD | Marriage & Family Therapist |
| 1087705 | GA | MD | Physician Assistant |
Interoperability endpoints
- https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409702400000",
"number": "1003044785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24565 TOWN CENTER DR APT 8206",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913550817",
"telephone_number": "813-784-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24565 TOWN CENTER DR",
"address_2": "APT 8206",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913551371",
"telephone_number": "813-784-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTKOWSKI",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2014-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "1087705",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.